Individual
DR. RUSSELL J STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 HOSPITAL DR STE 312, LEWISBURG, PA 17837-8909
(570) 523-8700
(570) 523-8705
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
(570) 522-4144
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD040749E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011194140001
—
PA
Enumeration date
01/09/2006
Last updated
06/10/2022
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